Department of Psychiatry, University of Rochester Medical Center, Rochester, New York 14642, USA. diane
Subst Use Misuse. 2012 Jan;47(1):56-66. doi: 10.3109/10826084.2011.628735.
Although hepatitis C virus (HCV) can be cleared, very few infected persons complete the treatment, resulting in disease progression and transmission. Motivational interventions effectively address health and substance-use-related conditions in many cultures. The research team piloted an HCV treatment motivational enhancement training and supervision for four counselors treating four patients in one (of 11) large methadone programs in Israel between 2007 and 2008. The counselors received a 3-day training followed by seven supervision sessions. Training included cultural and language adaptation from the original United States version to practice in Israel. Feasibility was assessed and demonstrated through training field notes and questionnaire feedback, review of taped intervention sessions for counselor proficiency and patient engagement, and patient completion of intervention sessions and piloted measures. While positive feasibility outcomes were noted, future studies should employ larger numbers of counselors and patients to assess the effectiveness of motivational enhancement in promoting HCV treatment in methadone patients.
虽然丙型肝炎病毒 (HCV) 可以被清除，但很少有感染者能完成治疗，导致疾病进展和传播。动机干预在许多文化中都能有效地解决健康和药物使用相关的问题。研究小组于 2007 年至 2008 年间在以色列的 11 个大型美沙酮项目中的一个项目中，对 4 名治疗 4 名患者的辅导员进行了 HCV 治疗动机增强培训和监督。辅导员接受了为期 3 天的培训，然后进行了 7 次监督会议。培训包括对原始美国版本进行文化和语言改编，以适应以色列的实践。通过培训现场记录和问卷调查反馈、评估辅导技能和患者参与度的录音干预会议回顾，以及患者完成干预会议和试点措施，评估并展示了可行性。虽然注意到了积极的可行性结果，但未来的研究应招募更多的辅导员和患者，以评估动机增强在促进美沙酮患者 HCV 治疗方面的效果。
